45D2264740 CLIA NUMBER - ENVISION IMAGING SOUTHWEST FORT WORTH

Laboratory Demographics

  • CLIA Code: 45D2264740
  • Facility Name: ENVISION IMAGING SOUTHWEST FORT WORTH
  • Facility Address: 5900 ALTAMESA BLVD SUITE 103
    FORT WORTH, TX
    ZIP 76132
  • Facility Phone: 817 592-5400
  • Facility Type: Other - OUTPATIENT DIAG IMAGING
  • Facility Type: Waiver
  • Lab Director: ERIN ARMSTRONG
  • NPI Number: 1649753716
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2264740
LAB Type Other - OUTPATIENT DIAG IMAGING
Facility Name ENVISION IMAGING SOUTHWEST FORT WORTH
Street 5900 ALTAMESA BLVD SUITE 103
City FORT WORTH
State TX
ZIP 76132
Phone 817 592-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Other - OUTPATIENT DIAG IMAGING
Lab Director ERIN ARMSTRONG

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This page was last updated on: 9/29/2025